Medical Office Billing Coding, 688 Hours, 6 Months, 2 terms
Occupational Objective: The graduate should be able to acquire an entry-level position in a medical office as a medical biller or coding specialist. Medical billing and coding is an important healthcare profession and is one of the few that doesn’t require direct contact with patients. Medical biller and coders have many titles; health information coder, medical coding specialist, coding specialist, or health information technician. Obtaining a healthcare career in a short period of time is part of the reality of being a medical coder.
The curriculum at the MJS School of Technology for the Medical Billing and Coding program includes a comprehensive overview of anatomy and physiology, medical terminology , medical insurance and reimbursement. The program culminates and extensive 16 week module on medical billing and coding (ICD -9-CM, HPCPS, and CPT coding systems). It also includes an onsite externship where the student can apply the education in the medical office setting.
EQUIPMENT
All classrooms resemble a general medical office with computers, printers, phones, supply cabinets. The students will have access to CPT and ICD coding books with the necessary Medicare and Medicaid information used by today’s medical offices. They will be using the HCFAA forms and envelopes.
MODULE A - 3 WEEKS- 72 HOURS
During this module, the Medical Billing Coding program will focus on Anatomy and Physiology. The students will focus on an overview of the human body including structure, the functions of tits different parts and systems, and an introduction to diseases. Students will learn how to apply this information while performing insurance billing and coding functions.
MODULE B- 3 WEEKS - 72 HOURS
This module will designed to familiarize students with medical terminology, medical words, phrases, and medical abbreviations, related to the systems of the human body and disease processes. Students will learn definitions and pronuniciaion of the different words an phrases. Students will gain real life examples from medical charts in patients settings.
MODULE C - 6 WEEKS - 144 HOURS
This module is designed to teach students about major insurance programs, federal health care legislation and programs and claims. In addition the student will learn the process of completing claim forms efficiently, effectively, and in compliance with payor guidelines and regulations. Using the knowledge of medical terminology and administrative skills, this course will review and facilitate the medical terminology skills while introducing the student to health insurance, managed care, the life cycle of an insurance claim, legal and regulatory issues, coding for medical necessarily, CMS claim forms, commercial claims, Medicare, Medicaid, Tricare, and Workers compensation. Students will have hands on experience while working in the clinical lab with computers, various billing claim forms, dealing with various simulated patent scenarios, calculators, adding machines, Microsoft excel, word and works.
MODULE D - 16 WEEKS - 384 HOURS
This is the heart of the billing coding curriculum. Accurate coding is crucial to the successful operation of any health care facility of providers office because reported codes determine the amount of reimbursement received. This module will benefit will be able to properly assign the correct ICD 9, HCPCS and or CPT coding assignment based on the medical services performed. This module also includes a 160 hour externship where students will code actual claims based on patient visits. Students will used the knowledge learned in previous modules and submit claims to commercial insurance companies, Medicare and Medicaid and other entities based on patient population.
GRADUATION
The following is a description of course requirements:
A: Quizzes: During each module there may be a quizzes. The quizzes will be multiple choice and matching and may or may not be announced. The quizzes are designed to test your comprehension of the material being covered. Quizzes will be counted for 30% of final grade.
B. Unit/Chapter: There will be Unit/Chapter tests/ The tests will be multiple choice, matching, or diagram labeling. This will be 40% of your grade.
C. Class Participation: Class participation is a very important element of the learning experience. Each student is expected to participate in class. This will 10% of final grade.
D. ScenarioExercises: Scenario exercises and hands on activities include, computer simulations, customer service, financial office management, billing, coding, as various other billing and coding skills needed within a healthcare practice. This will be 10% of final grade.
E. Portfolio: Each student will be required to maintain a neat and organized portfolio. Your portfolio will be looked throughout for a grade. This will count for 10% of final grade. The portfolios should be 2 inch, three ring binder and should be organized with dividers according to the following:
1,. Course syllabus
2. Procedural checklist
3. Notes by unit
4. Terminology
5. Class exercises
6. Resume
CLASSES AND SCHEDULING
Day classes are Monday thru Friday; and evening classes are available Monday and Thursday. Classes begin at various times throughout the year.
TUITION
If the student has completed course work up through and including Module B and chooses to withdrawal from the program. then 50% of full program tuition will be reimbursed. (example: total program $1000, Student paid $750; withdraws during Module B - then student refunded $500);
No refunds will be given after the start of Module C.
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